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Kidney RCC : Matastatic Diseas
Subodh
Posted: Sunday, November 20, 2011 11:06 PM
Joined: 11/20/2011
Posts: 1


This is wrt my brother-in-law: (Male 45)

Brief Medical History

·         March 2008 : Patient passed bold in urine around 3 months back – Stopped on its own. – NO INVESTIGATION CARRIED OUT.

·         May 2009 : Patient went for routine medical examination on 5th May 2009 at Siddhpur.

·         Renal mass seen in Sonography.

·         6th May 2009 : Spiral CT Scan carried out at Mehsana on  

·         Both the Right and Left Kidneys indicated Mass lesion.

·         9th May 2009 : Right Kidney removed.

·         13th May 2009 : Pet Scan carried out on 13th May 2009. – report Attached.

·         The Patient under Treatment ‘Sutent 50 mg / daily’ since July 2009.

·      Ct Scan carried out on 27 Jan 2011 :findings as follows:

                Quote: 

                Findings Suggest : Post Operative p/o malignant Mass in Left Kidney.

                Un-Quote

·         On completion of 12 cycles of the advised therapy the patient again underwent a Ct scan on 18th November 2011 – Report Attached.

Findings as follows :

Evidence of multiple fairly well defined, heterogeneously enhancing, nodular lesions are seen involving entire left kidney. Largest one involving upper-mid poles measure about 9.3 x 10.9 x 13.9 cm.

Multiple malignant lesions involving left kidney with tumor thrombus within proximal renal vein.

Subcentimeter sized pericaval nodes and small enhancing nodules along posterior aspect of right liver surface – right dome of diaphragm.

Left adrenal lesion and L3 vertebral erosion with soft tissue component.

Bi-basal lung nodules.

Kindly advise if CK would remain an option for the patient in this particular case.

Thanks and Regards,

 


Subodh.....
 

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